Organization
TRANSFORMATION CENTER-CLEVELAND
Active
Parent organization
TRANSFORMATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSFORMATION CENTER
Authorized official
MR. MARK L. CARPENTER (DIRECTOR/PRESIDENT)
(423) 499-9335
Entity
Organization
Contact information
Practice address
423 CENTRAL AVE NW, CLEVELAND, TN 37311-4923
(423) 476-1933
(423) 559-1848
Mailing address
7209 HAMILTON ACRES CIR, CHATTANOOGA, TN 37421-8623
(423) 499-9335
(423) 499-9334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000023616
STATE LICENSE
TN
Enumeration date
02/18/2019
Last updated
02/18/2019
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